[1]朱桥华,杨 轮,黄江远,等.左髂总静脉受压继发髂股静脉血栓形成风险预测模型构建和评价 [J].介入放射学杂志,2023,32(04):371-375.
 ZHU Qiaohua,YANG Lun,HUANG Jiangyuan,et al.Establishment and evaluation of a risk prediction model used for predicting iliofemoral venous thrombosis secondary to compression of the left common iliac vein [J].journal interventional radiology,2023,32(04):371-375.
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左髂总静脉受压继发髂股静脉血栓形成风险预测模型构建和评价
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年04
页码:
371-375
栏目:
临床研究
出版日期:
2023-05-02

文章信息/Info

Title:
Establishment and evaluation of a risk prediction model used for predicting iliofemoral venous thrombosis secondary to compression of the left common iliac vein
作者:
 朱桥华 杨 轮 黄江远 刘勇刚 黄 维 罗美华 陈德华 余启荣
Author(s):
 ZHU Qiaohua YANG Lun HUANG Jiangyuan LIU Yonggang HUANG Wei LUO Meihua CHEN Dehua YU Qirong.
Department of Oncology and Vascular Intervention Shunde Hospital Southern Medical University Foshan Guangdong Province 528308 China
关键词:
【关键词】 髂静脉受压 髂股静脉血栓形成 风险预测模型 预测效能
文献标志码:
A
摘要:
【摘要】 目的 构建并评价左髂总静脉(LCIV)受压继发髂股静脉血栓形成的风险预测模型。方法 回顾性分析201211月至201912月在南方医科大学顺德医院接受血管内介入治疗的血栓性髂静脉受压综合征患者临床资料。根据纳入和排除标准选取治疗组和对照组,两组患者按年龄- 性别11进行匹配。根据CT横断面上所测LCIV和右髂总静脉最小短径计算LCIV受压比例。采用Padua量表评分评估静脉血栓栓塞症(VTE)危险因素,多因素logistic回归分析构建左髂股静脉血栓形成风险预测模型,受试者工作特征曲线(ROC)、Hosmer- Lemeshow拟合优度检验及k折交叉验证评价模型预测效能。结果 治疗组共纳入93例患者,其中男23例,女70例,年龄(57.1±16.9)岁(2288岁)。治疗组、对照组LCIV受压比例分别为(77.10±12.88%、(42.11±21.22%P0.01),LCIV受压与髂股静脉血栓形成呈相关性,并与VTE危险因素间存在协同作用。所构建预测模型:P(髂股静脉血栓形成概率)=explogit P/1+explogit P)],logit P=-9.070.61×VTE危险因素评分+0.13×LCIV受压比例。logit PROC曲线下面积为0.9400.9080.971),Hosmer- Lemeshow拟合优度为P=0.563k折交叉验证训练准确度为0.871±0.007,预测准确度为0.844±0.048 结论 基于LCIV受压比例和Padua危险因素评分所建左髂股静脉血栓形成风险模型具有良好的预测效能。

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备注/Memo

备注/Memo:
(收稿日期:2022- 02- 28)

(本文编辑:边 佶)
更新日期/Last Update: 2023-05-02